Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies

The aim of this study is to establish a risk appraisal model for GDM by identifying modifiable factors that can help predict the risk of GDM in a large population of 2194 women living in Spain. They were recruited between 2009-2010 when screening for GDM was performed. Participants completed a quest...

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Main Authors: Ana M. Ramos-Leví, Natalia Pérez-Ferre, M. Dolores Fernández, Laura del Valle, Elena Bordiu, Ana Rosa Bedia, Miguel A. Herraiz, M. José Torrejón, Alfonso L. Calle-Pascual
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/312529
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author Ana M. Ramos-Leví
Natalia Pérez-Ferre
M. Dolores Fernández
Laura del Valle
Elena Bordiu
Ana Rosa Bedia
Miguel A. Herraiz
M. José Torrejón
Alfonso L. Calle-Pascual
author_facet Ana M. Ramos-Leví
Natalia Pérez-Ferre
M. Dolores Fernández
Laura del Valle
Elena Bordiu
Ana Rosa Bedia
Miguel A. Herraiz
M. José Torrejón
Alfonso L. Calle-Pascual
author_sort Ana M. Ramos-Leví
collection DOAJ
description The aim of this study is to establish a risk appraisal model for GDM by identifying modifiable factors that can help predict the risk of GDM in a large population of 2194 women living in Spain. They were recruited between 2009-2010 when screening for GDM was performed. Participants completed a questionnaire on socio-demographic, anthropomorphic and behavioral characteristics, and reproductive and medical history. A total of 213 (9.7%) women were diagnosed as having GDM. Age, pregestational body weight (BW) and body mass index (BMI), and number of events of medical, obstetric and family history were significantly associated with GDM. After logistic regression model, biscuits and pastries intake <4 times/week, red and processed meats intake <6 servings/week, sugared drinks <4 servings/week, light walking >30 minutes/day, and 30 minutes/day of sports at least 2 days/week, compared with opposite consumption, was associated with less GDM risk. Our study identified several pregestational modifiable lifestyle risk factors associated with an increase in the risk of developing GDM. This may represent a promising approach for the prevention of GDM and subsequent complications. Further intervention studies are needed to evaluate if this appraisal model of risk calculation can be useful for prevention and treatment of GDM.
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spelling doaj-art-97c803ab65eb431086c419f8132e6cd22025-02-03T06:42:15ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/312529312529Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative StrategiesAna M. Ramos-Leví0Natalia Pérez-Ferre1M. Dolores Fernández2Laura del Valle3Elena Bordiu4Ana Rosa Bedia5Miguel A. Herraiz6M. José Torrejón7Alfonso L. Calle-Pascual8Department of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Laboratory Analysis, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Gynecology and Obstetrics, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Laboratory Analysis, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainDepartment of Endocrinology and Nutrition, Hospital Clínico San Carlos, Professor Martín Lagos Street s/n, 28040 Madrid, SpainThe aim of this study is to establish a risk appraisal model for GDM by identifying modifiable factors that can help predict the risk of GDM in a large population of 2194 women living in Spain. They were recruited between 2009-2010 when screening for GDM was performed. Participants completed a questionnaire on socio-demographic, anthropomorphic and behavioral characteristics, and reproductive and medical history. A total of 213 (9.7%) women were diagnosed as having GDM. Age, pregestational body weight (BW) and body mass index (BMI), and number of events of medical, obstetric and family history were significantly associated with GDM. After logistic regression model, biscuits and pastries intake <4 times/week, red and processed meats intake <6 servings/week, sugared drinks <4 servings/week, light walking >30 minutes/day, and 30 minutes/day of sports at least 2 days/week, compared with opposite consumption, was associated with less GDM risk. Our study identified several pregestational modifiable lifestyle risk factors associated with an increase in the risk of developing GDM. This may represent a promising approach for the prevention of GDM and subsequent complications. Further intervention studies are needed to evaluate if this appraisal model of risk calculation can be useful for prevention and treatment of GDM.http://dx.doi.org/10.1155/2012/312529
spellingShingle Ana M. Ramos-Leví
Natalia Pérez-Ferre
M. Dolores Fernández
Laura del Valle
Elena Bordiu
Ana Rosa Bedia
Miguel A. Herraiz
M. José Torrejón
Alfonso L. Calle-Pascual
Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
International Journal of Endocrinology
title Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
title_full Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
title_fullStr Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
title_full_unstemmed Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
title_short Risk Factors for Gestational Diabetes Mellitus in a Large Population of Women Living in Spain: Implications for Preventative Strategies
title_sort risk factors for gestational diabetes mellitus in a large population of women living in spain implications for preventative strategies
url http://dx.doi.org/10.1155/2012/312529
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